Evidence map›Paper›PMID 29703966›Full record

ArticleBone marrow transplantation2018

CD3+ graft cell count influence on chronic GVHD in haploidentical allogeneic transplantation using post-transplant cyclophosphamide.

A Mussetti, C De Philippis, C Carniti, M Bastos-Oreiro, J Gayoso, N Cieri, M Pennisi, F Ciceri, R Greco, J Peccatori and 4 more

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In one paragraph

Article in Bone marrow transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Impact of T Cell Dose on Outcome of T Cell-Replete HLA-Matched Allogeneic Peripheral Blood Stem Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. The Impact of Graft CD3Journal of hematology · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

A MussettiDivision of Hematology and Bone Marrow Transplant, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. alberto.mussetti@istitutotumori.mi.it.ORCID http://orcid.org/0000-0002-4088-036X
C De PhilippisDepartment of Hematology and Oncology, Humanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
C CarnitiDivision of Hematology and Bone Marrow Transplant, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
M Bastos-OreiroServicio de Hematología y Hemoterapia, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
J GayosoServicio de Hematología y Hemoterapia, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
N CieriDept. of Oncology and Hematology, University of Milano, Milan, Italy.
M PennisiDept. of Oncology and Hematology, University of Milano, Milan, Italy.
F CiceriHematology and Bone Marrow Transplantation (BMT) Unit, San Raffaele Scientific Institute, Milan, Italy.
R GrecoHematology and Bone Marrow Transplantation (BMT) Unit, San Raffaele Scientific Institute, Milan, Italy.
J PeccatoriHematology and Bone Marrow Transplantation (BMT) Unit, San Raffaele Scientific Institute, Milan, Italy.
F PatriarcaHematology, DAME, University Hospital, University of Udine, Udine, Italy.
J MariottiDepartment of Hematology and Oncology, Humanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0001-6528-9296
L CastagnaDepartment of Hematology and Oncology, Humanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0002-6239-7387
P CorradiniDivision of Hematology and Bone Marrow Transplant, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Humanitas University · ITUniversity of Milan · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITHospital General Universitario Gregorio Marañón · ESUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effects of graft or donor characteristics in haploidentical hematopoietic cell transplantation (HCT) using post-transplant cyclophosphamide (PT-Cy) are largely unknown. In this multicenter retrospective study we analyzed the correlations between graft cell composition (CD34+, CD3+) and donor features on transplant outcomes in 234 patients who underwent HCT between 2010 and 2016. On multivariate analysis, the use of peripheral blood stem cells (PBSC) was associated with an increased incidence of grade 2-4 acute GVHD [HR 1.94, 95% confidence Interval (CI) = 1.01-3.98, p = 0.05]. An elevated CD3+ graft content was associated with an increased incidence of all-grade chronic GVHD [HR 1.36 (95% CI = 1.06-1.74), p = 0.01]. This effect was confirmed only for the PBSC graft group. A higher CD34+ graft content had a protective role on non-relapse mortality [HR 0.78 (95% CI = 0.62-0.96), p = 0.02] but this was confirmed only for the bone marrow (BM)-derived graft cohort. Donor characteristics did not influence any outcomes. GVHD prophylaxis should be modulated accordingly to CD3+ graft content, especially when a PBSC graft is used. These results need further validation in prospective trials.

Indexed as

AdultAgedCD3 ComplexChronic DiseaseCohort StudiesCyclophosphamideFemaleGraft SurvivalGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedTransplantation, HaploidenticalTransplantation, HomologousYoung AdultCD3 ComplexCyclophosphamide

Identifiers

PMID29703966
OpenAlexW2802541591

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.